Individual provider · Type 1 NPI

Amy Marie Bacon, MSW

Clinical Social Worker · Minneapolis, MN

NPI number 1144239807 Active

Practice location

1 Veterans Dr, 4K-TBI
Minneapolis, MN 55417-2309

Call (612) 725-2000 Map

Fax (612) 467-2144

Mailing address

5007 Westmill Rd
Minnetonka, MN 55345-3341

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8419 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1144239807

Amy Marie Bacon, MSW's National Provider Identifier is 1144239807, issued on Aug 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 26, 2026.